sb/ke
Date : 00.00.00

Name of the Patient : Abc XyzChirlmn / M / 21 yrs.
Referred by : Dr. Abc Xyzoshi.
Examination : M.R.I. of the Lumbo-sacral Spine.

CLINICAL PROFILE :

C/O low back pain radiating to the RLE since 6-8 months.

EXAMINATION :

M.R.I of the lumbo-sacral spine was performed using the following parameters :

5 mm thick T1 Weighted and T2 Weighted sagittal images.

5 mm thick T1 Weighted and T2 Weighted axial images.

OBSERVATION :

There is loss of water content of the L5-S1 disc.

There is a fairly large, right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level, with indentation on the traversing right S1 nerve root. Slight inferior migration of the disc fragment is noted and is seen to lie posterior to the S1 vertebral body.

A small, posterior disc bulge is noted at the L4-L5 level.

Slight hypertrophy of the facet joints is noted in the lumbar region.

The lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The visualized pre and paravertebral soft tissues are unremarkable.

The conus medullaris terminates at the D12-L1 level and the thecal sac terminates at the S2 level.




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The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :

16.0 mm at L1-L2

14.0 mm at L2-L3

13.0 mm at L3-L4

13.0 mm at L4-L5

6.0 mm at L5-S1.

IMPRESSION :

1. Degenerated L5-S1 disc with a fairly large, right paracentral disc herniation with peridiscal osteophyte at the L5-S1 level, indenting the traversing right S1 nerve root.

2. A small, posterior disc bulge at the L4-L5 level.

3. Slight facetal hypertrophy in the lumbar region.